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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Multiple Stones In Kidneys. Some Are Calcium Oxalate Monohydrate, Some Are Calcium Oxalate Dihydrate. S-PTH 85. Suggestions?

Hi I have got multiple stones in both kidneys of 3-5 mm. I have got 3-4 stones analyzed . Structure of the stone is Calcium Oxalate. 80% is Calcium Oxalate Monohydrate and 20% is Calcium Oxalate Dihydrate. Also I got S-PTH test (Parathyroid Harmone) done. Result is 85 pg/ml. Please suggest me how to proceed further on this.
Mon, 1 Jul 2013
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General & Family Physician,  's  Response
Hi,

your S-PTH level hormone is high, that is main cause of the stones in your kidney.

First step to proceed with finding the cause for the increase in PHT and once its found need to be treated to get back the hormone level to a normal.

Next step is to drink lot of water to flush the stones out, and keep them monitored via ultrasound, if not getting off the kidney after a lot of flush by drinking large amount of water and cranberry juice by 3 months, then ask the surgeon about the lithotrypsy.

Hope it helps.

Dr. JAY PATEL.
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Multiple Stones In Kidneys. Some Are Calcium Oxalate Monohydrate, Some Are Calcium Oxalate Dihydrate. S-PTH 85. Suggestions?

Hi, your S-PTH level hormone is high, that is main cause of the stones in your kidney. First step to proceed with finding the cause for the increase in PHT and once its found need to be treated to get back the hormone level to a normal. Next step is to drink lot of water to flush the stones out, and keep them monitored via ultrasound, if not getting off the kidney after a lot of flush by drinking large amount of water and cranberry juice by 3 months, then ask the surgeon about the lithotrypsy. Hope it helps. Dr. JAY PATEL.